Individual
NICHOLAS GEORGE LIOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Mailing address
601 ELMWOOD AVE., BOX MED, ROCHESTER, NY 14642-0001
(585) 275-2141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
023583
NY
363AM0700X
Medical Physician Assistant
23583
NY
Other
Enumeration date
06/18/2019
Last updated
07/17/2023
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